Emergency department management of severely injured children in New South Wales.

Emergency Medicine Australasia : EMA
Kate CurtisAndrew J A Holland

Abstract

Presentations to EDs for major paediatric injury are considerably lower than for adults. International studies report lower levels of critical intervention, including intubation, required in injured children. A New South Wales study demonstrated an adverse event rate of 7.6% in children with major injury. Little is known about the care and interventions received by children presenting to Australian EDs with major injury. The ED care of injured children <16 years who ultimately received definitive care at a New South Wales Paediatric Trauma Centre between July 2015 and September 2016, and had an Injury Severity Score ≥9, required intensive care admission or died were included. There were 491 injured children who received treatment at 64 EDs, half (49.4%, n = 243) were treated initially in a Paediatric Trauma Centre. One third (32.8%) sustained an Injury Severity Score >12, more than half (n = 251, 51.1%) of children were classified as a triage category 1 or 2, and 38.3% received trauma team activation. Critical intervention was infrequent. Intubation was documented in 9.2% (n = 45), needle thoracostomy and activation of massive transfusion protocol in two (0.4%) and eight (1.6%) had intraosseous access established. Only a small ...Continue Reading

References

Sep 20, 2011·Pediatric Emergency Care·Marion R SillsMichael G Kahn
Nov 19, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Kate CurtisKaron McDonnell
Feb 2, 2015·Journal of Pediatric Surgery·Shannon N AckerDenis D Bensard
Apr 12, 2016·Journal of Paediatrics and Child Health·Arjun Rao, Fenton O'Leary
Dec 5, 2019·Emergency Medicine Australasia : EMA·Nicole GhedinaSally McCarthy
Sep 25, 2020·Emergency Medicine Australasia : EMA·Shane GeorgeUNKNOWN Paediatric Critical Care Research Group (PCCRG), Australian and New Zealand Intensive Care Society Paediatric Study Group (A
Apr 4, 2021·International Journal of Nursing Studies·Chiara Dall'OraOliver C Redfern

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